Thoracic, Hip and Pelvic Movement Impairments Related to Pelvic Pain Syndromes

Level: Beginner to Advanced
Prerequisite: Working knowledge with pelvic floor anatomy/pain conditions and reading   Musculoskeletal Chronic Pelvic Pain, chapter 1.3, pages 35-64 in The Pelvic Floor by Carriere and Feldt
Suggested Pre-readings:

• Diagnosis and Treatment of Movement Impairment Syndromes by Shirley Sahrmann.
• Review the anatomy of the pelvis and perineum (Go to "Muscles by Region," then "Pelvis and Perineum").
• Chronic Pelvic Pain and IPPS, a patient education booklet. 

Audience: Seminar content is targeted to Physical Therapists

Cost: $575
register early for $550 (see registration form for details)

Contact hours: 16

CEUs vary by state

Course Overview

In this course you will learn movement diagnosis and treatment as it applies to the signs and symptoms of the thoracic spine, hip and pelvis impairments associated with pelvic pain. Selection and performance of corrective exercises based on the results of the examination as well as taping techniques to facilitate correct exercise performance will be instructed. Correlations will be made throughout the course to facilitate the treatment of individuals with pelvic floor dysfunction.

Objectives

Upon completion of this seminar, participants will be able to:

1. Describe concepts of trunk and hip muscle length, strength and movement patterns as they relate to pain syndromes of the thoracic spine, hips and pelvis.  
2. Describe the concepts of relative flexibility and displacement of the axis of rotation at the hip.
3. Recognize common movement impairments of the thoracic spine, hips and pelvis.
4. Recognize common postural and associated muscle impairments of the thoracic spine, hips and pelvis.
5. Recognize movement impairment syndromes associated with painful conditions of the spine, hips and pelvis.
6. Recognize sources of pelvic floor dysfunction that stem from impairments of the thoracic spine, hip and pelvis. 
7. Perform movement tests commonly related to movement impairment syndromes of the thoracic spine, hips and pelvis.
8. Develop a diagnosis and subsequent corrective exercise program based on the results of a specific movement examination for the thoracic spine, hips and pelvis.

Special Considerations

This course includes both lecture and lab, all course attendees should come prepared to participate as both clinician and patient. 

Audience

Seminar content is targeted to physical therapists. Content is not intended for use outside the scope of the learner's license or regulation. Clinical continuing education should not be taken by individuals who are not licensed or otherwise regulated; except as they are involved in a specific plan of care.   

Course Schedule

Day 1:
6:00pm – 8:00pm   Review principles and concepts of Movement System Impairment (MSI) Theory with correlations to chronic pelvic pain and pelvic floor dysfunction.
8:00pm – 9:00pm   Lab  Abdominal muscle performance testing, special tests for the thoracic spine (sub costal margin monitoring, breathing mechanics, single arm raises, and trunk motions).

Day 2:
8:00am – 9:30am   Lab  Complete special tests for the thoracic spine.
9:30 – 10:30   Thoracic spine movement diagnoses.
10:30 – 10:45   Break.
10:45 – 11:15   Case review: Thoracic flexion rotation with radicular pain into the abdomen.
11:15 – 12:30pm   Practice selected treatments for Thoracic Flexion Rotation Movement Impairments (prone shoulder flexion, quadruped single arm raises, back to wall shoulder flexion with inhalation, ribcage elevation).
12:30 – 1:30   Lunch.
1:30 – 3:00   Pelvic Pain: Pain referral patterns from the hip, MSI hip diagnoses.
3:00 – 3:15   Break.
3:15 – 4:30   Demo and Lab  Exam of the hip as related to pelvic pain.
4:30pm – 5:00pm   Treatment strategies for the hip.

Day 3:
8:00am – 9:30am   MSI approach to the SI Joint (SIJ).
9:30 – 10:30   Demo  Exam of the lower quarter as it relates to the SIJ.
10:30 – 10:45   Break.
10:45 – 12:15pm   Lab  Exam, SIJ and hip.
12:15 – 12:45   Lunch.
12:45 – 1:45   Lab  Treatment strategies and taping techniques for SIJ, spine and hip joints.
1:45 – 2:00   Questions.
2:15pm   Course ends.

Certificates

All participants completing the seminar will receive a certificate of attendance with continuing education contact hours.

All participants are expected to stay through the entire course to receive their CEUs.

 

 To Register, please select the link for the specific course date and location below.

Unless otherwise noted, all course dates listed below are open and still have space for more registrants. Once a course becomes full, it will be noted on the course event page. 

Scheduled Course Dates & Locations